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在骨折后的关节炎中,全关节整形术的结果

Jaeyoung Kim^1,2, Ruben Radkievich³, Rami Mizher²

¹Baylor University Medical Center, Dallas, TX, USA.

Foot & ankle international

|September 29, 2023

概括

关节整形术 (TAA) 的结果在患有和没有骨折史的患者之间是可比的,尽管骨折后的患者经历了更高的重新手术率. 关节内骨折没有显示出比关节外骨折更差的结果.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程

背景情况:

骨折后脚关节炎是全面脚关节整形术 (TAA) 的常见指示.
患有脚骨折史的患者的TAA结局与没有脚骨折的患者相比,并未得到很好的确立.
这项研究涉及TAA在骨折后脚关节炎中的中期疗效.

研究的目的:

为了比较TAA的中期结果,在有和没有足骨折史的患者中.
在两组中调查并发症率,包括修复和重新操作.
分析患者报告的结局,使用足部和脚结局得分 (FAOS).

主要方法:

在2007年至2017年期间接受TAA的178个脚 (171名患者) 的回顾性审查,至少进行5年的随访.
患者分为骨折后 (n=63) 和没有骨折的 (n=115) 组.
对并发症类型和发生率,FAOS和术后改善进行比较;对关节内骨折和关节外骨折进行分组分析.

主要成果:

两组都显示了类似的术后改善和最终FAOS分数.
骨折后组的重复手术率明显较高 (31.7%对14.8%,P=.011),主要是由于沟碰撞.
修订率相似 (每组3例);关节内骨折与关节外骨折没有显著的结果差异.

结论:

骨折后患者的TAA产生了与非骨折患者相比的患者报告结果和植入物存活率.
然而,在骨折后的患者中,TAA与更高的非修订重复手术率有关.
与关节外骨折相比,关节内脚骨折不会导致较差的TAA结果.

关键词:

脚关节关节炎脚关节炎关节质复原关节质复原关节质复原关节质复原这是一个关节的关节.这是一个复杂的并发症.骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.这是创伤后的创伤.重新启动的运行情况.整个脚的整体脚.

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